Healthcare Provider Details

I. General information

NPI: 1598884116
Provider Name (Legal Business Name): SABRINA K HAYES RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 4TH ST SW
WAVERLY IA
50677-4324
US

IV. Provider business mailing address

210 IOWA ST
DENVER IA
50622-9605
US

V. Phone/Fax

Practice location:
  • Phone: 319-352-2021
  • Fax:
Mailing address:
  • Phone: 319-984-5347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15500
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: